2027 ICD-10-CM Diagnosis Code Z91.02Food additives allergy status

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z91

ICD-10-CM Z91.02
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z91.02 is a billable ICD-10-CM diagnosis code for food additives allergy status. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as allergy to food additive. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified status.

Code Identity

ICD-10-CM Code
Z91.02
Billable Status
Yes — Valid for Submission
Code Describes
Food additives allergy status
Short Description
Food additives allergy status
Same as the full description in the CMS dataset.
Parent Code
Allergy status, other than to drugs and biological substances

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ91Personal risk factors, not elsewhere classified
This CodeZ91.02Food additives allergy status

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z91.02.

There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Allergy to food additive
  • Allergy to tryptophan

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z91.02: its own notes plus those printed at Z91.0, Z91, block Z77-Z99, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Z91.0 Allergy status, other than to drugs and biological substances applies to 17 codes
  • Allergy status to drugs, medicaments, and biological substances (Z88.-)
From Z91 Personal risk factors, not elsewhere classified applies to 62 codes
  • contact with and (suspected) exposures hazardous to health (Z77.-)
  • exposure to pollution and other problems related to physical environment (Z77.1-)
  • female genital mutilation status (N90.81-)
  • occupational exposure to risk factors (Z57.-)
  • personal history of physical injury and trauma (Z87.81, Z87.82-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status applies to 567 codes
  • any follow-up examination (Z08-Z09)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z91.02, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming Z91.02: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z91.01 Food allergy status
    food additives allergy status (Z91.02)
  • Z88 Allergy status to drugs, medicaments and biological substances
    Allergy status, other than to drugs and biological substances (Z91.0-) names Z91.0-, which includes this code

Use Additional Code 2

These codes say to use an additional code from the note, and Z91.02 is one of the codes named.

  • K52.2 Allergic and dietetic gastroenteritis and colitis
    code to identify type of food allergy (Z91.01-, Z91.02-)
  • D89.44 Hereditary alpha tryptasemia
    allergy status, other than to drugs and biological substances (Z91.0-) names Z91.0-, which includes this code

Code Also 1

These codes say Z91.02 may also be needed to fully describe the condition. The note gives no sequencing direction.

  • Z87.892 Personal history of anaphylaxis
    allergy status, other than to drugs and biological substances (Z91.0-) names Z91.0-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC025
Other specified status
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

Food Allergy

A food allergy is an abnormal immune system reaction to certain foods. Your immune system normally protects you from germs. But if you have a food allergy, your immune system mistakenly reacts to certain foods as if they were harmful. This reaction is usually mild. But in some cases, it can be serious or even life-threatening.

The full article covers:

  • What is a food allergy?
  • Who is more likely to develop a food allergy?
  • What are the symptoms of food allergies?
  • How are food allergies diagnosed?
  • What are the treatments for food allergies?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z91.02 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V15.05 Hx-other food allergy
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z91.02Overview

What is the ICD-10 code for food additives allergy status?

The ICD-10-CM code for food additives allergy status is Z91.02 (sometimes written as Z9102). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z91.02 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report food additives allergy status on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z91.02 group to?

On inpatient claims, food additives allergy status maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.

Can Z91.02 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because food additives allergy status describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z91.02 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for food additives allergy status on inpatient claims. The code appears in the Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) range of the CMS exempt list.